Keller, Greg S

Keller, Greg S is an individual health care provider with primary practice located at 3195 Stillwater Dr Ste D , Prescott AZ 86305-7171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Keller, Greg S can be contacted via phone (928) 708-4545.

Contact Information

Primary practice address
3195 Stillwater Dr Ste D Prescott AZ 86305-7171
Phone: (928) 708-4545
Fax: (928) 708-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31711 Arizona

Profile Details

NPI number 1639284813
LBN Legal business name Keller, Greg S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Dec 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639284813 NPPES
Arizona Other 31711 MEDICAL LICENSE
Arizona MEDICAID 496291 MEDICAL LICENSE

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